# REJUV BODY & MED SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194319616
- **Authorized official:** ELISHA COLEMAN SA (SURGICAL ASSISTANT/ MASSAGE THERAPI)
- **Authorized official phone:** (804) 536-8539

## Contact information

- **Practice address:** 10020 CHESTER RD STE A, CHESTER, VA 23831-1112
- **Practice address phone:** (804) 635-3065
- **Mailing address:** 7806 SILVER MIST AVE, NORTH CHESTERFIELD, VA 23237-1976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 02/22/2022